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Volume 12 (3)
Volume 12, Issue 3, 1992 
J Contin Educ Health Prof 1992; 12(3):163-169
MEDICINE
Lawrence T. Goodnough, MD Alan L. Hull, PhD Patricia Flatley Brennan, RN, PhD Barbara Martin, RN, MM A b s t r a c t A communication analysis study was designed and conducted to analyze patterns of communication between operating room (OR) personnel about transfusion practice during open heart surgery. The purpose was to identify the transfusion medicine decision maker in order to target OR personnel for subsequent continuing medical education (CME). Targeting the decision makers for CME intervention would (1) improve transfusion practice for quality assurance and (2) increase the efficiency of providing CME. The results of our analysis indicate that the surgical team is the primary decision maker and that transfusion medicine education programs designed to reduce homologous blood exposure in open heart surgery should be directed particularly at this group. This may provide a mechanism for more efficient CME by focusing on physicians responsible for making decisions about resource allocation. Keywords: Transfusion decision makers |
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